{"id":5921,"date":"2021-12-06T11:46:36","date_gmt":"2021-12-06T11:46:36","guid":{"rendered":"https:\/\/ahmadfanaei.com\/?p=5921"},"modified":"2021-12-06T11:46:36","modified_gmt":"2021-12-06T11:46:36","slug":"does-hypothyroidism-affect-fertility","status":"publish","type":"post","link":"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/","title":{"rendered":"Does hypothyroidism affect fertility?"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-flat ez-toc-counter ez-toc-white ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/#How_are_thyroid_disorders\" >How are thyroid disorders?<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/#The_Connection_Between_Thyroid_Disorders_and_Fertility\" >The Connection Between Thyroid Disorders and Fertility<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/#What_are_the_risk_factors_for_hypothyroidism\" >What are the risk factors for hypothyroidism?<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/#How_can_thyroid_disorders_effect_your_fertility\" >How can thyroid disorders effect your fertility?<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/#Hypothyroidism_and_Fertility\" >Hypothyroidism and Fertility<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/#The_link_between_autoimmunity_inflammation_and_fertility\" >The link between autoimmunity, inflammation and fertility<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"How_are_thyroid_disorders\"><\/span><strong>How are thyroid disorders?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Your thyroid gland is the butterfly-shaped organ in the front of your neck that produces hormones that regulate your body\u2019s metabolism and affect vital functions. Fertility refers to a couple\u2019s ability to conceive and bring a baby to term. The relationship between your thyroid health and fertility is an important and sometimes complex part of conception.<\/p>\n<p>Thyroid disorders refer to a group of disorders that cause dysregulated functioning of the thyroid gland, resulting in the overproduction (hyperthyroidism) or underproduction (hypothyroidism) of thyroid hormones, triiodothyronine (T3), and thyroxine (T4).<\/p>\n<p>The most common hypothyroid disorder is the autoimmune condition, Hashimoto&#8217;s thyroiditis, which is predominant in women. Graves\u2019 disease, another autoimmune condition, is the most common cause of hyperthyroidism.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"The_Connection_Between_Thyroid_Disorders_and_Fertility\"><\/span><strong>The Connection Between Thyroid Disorders and Fertility<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Estrogen tends to get all the attention, but balanced thyroid hormones are equally important for conception<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_are_the_risk_factors_for_hypothyroidism\"><\/span><strong>What are the risk factors for hypothyroidism?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Women are at increased risk of an under active thyroid during or after pregnancy if they are over age 30 or have:<\/li>\n<li>Past infertility or preterm delivery<\/li>\n<li>A family history of thyroid or autoimmune disease<\/li>\n<li>Type 1 diabetes or other autoimmune disease<\/li>\n<li>Prior radiation treatment of the head or neck<\/li>\n<li>Past thyroid surgery<\/li>\n<li>Thyroid antibodies, mainly thyroid peroxidase (TPO) antibodies, which are often present in Hashimoto\u2019s disease<\/li>\n<li>A goiter (enlargement of the thyroid gland)<\/li>\n<li>Current treatment with levothyroxine, a thyroid hormone drug, unless the dose is adjusted before or soon after conception<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"How_can_thyroid_disorders_effect_your_fertility\"><\/span><strong>How can thyroid disorders effect your fertility?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Hypothyroidism and hyperthyroidism can each negatively impact fertility\u2014both the ability to become pregnant and the ability to carry a fetus to term. The presence of autoimmune antibodies, with or without hyper or hypothyroidism, can also impact your fertility.<\/p>\n<p>Dr. Elena Christofides MD, FACE, and Fellow of the American Association of Clinical Endocrinologists, explains that \u201cabnormal TSH levels can interfere with ovulation,\u201d and that, \u201cwhen you have any type of thyroid disorder (without proper management), you will see a luteal phase (the last half of the cycle after ovulation) disruption.\u201d<\/p>\n<p>This is mediated by progesterone levels. If a thyroid disorder is unregulated, a patient could have difficulty getting pregnant because there will not be implantation. You could also experience early miscarriage because of incomplete implantation.<\/p>\n<p>Signs of low levels or misfunctioning of progesterone include:<\/p>\n<p>A shorter or longer cycle than your typical menstrual cycle<\/p>\n<p>Lighter or heavier bleeding than is typical for you<\/p>\n<p>Longer or shorter windows for bleeding than is typical for you<\/p>\n<p>Fertility is not a female-only concern. Thyroid disorders in men can also affect a couple\u2019s fertility. Dysregulated thyroid function can damage sperm quality and motility, making it difficult for the sperm to enter the egg for implantation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Hypothyroidism_and_Fertility\"><\/span><strong>Hypothyroidism and Fertility<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Too little thyroid hormone can impact fertility in the following ways:<\/p>\n<ul>\n<li>Disruption of the menstrual cycle, making it harder to conceive.<\/li>\n<li>Interference with the release of an egg from the ovaries (ovulation)<\/li>\n<li>Increased risk of miscarriage<\/li>\n<li>Increased risk of premature birth<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"The_link_between_autoimmunity_inflammation_and_fertility\"><\/span><strong>The link between autoimmunity, inflammation and fertility<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Autoimmunity can negatively affect fertility, even when TSH levels are within normal range. Dr. Unuane explains that the immune imbalance indicated by thyroid antibodies can impact fertility by:<\/p>\n<ul>\n<li>Causing difficulty with fertilization of the egg<\/li>\n<li>Causing difficulty with implantation<\/li>\n<li>Increasing the risk for miscarriage<\/li>\n<\/ul>\n<p>Specialists don\u2019t always agree on whether or not your antibody count is an important factor. Dr. Christofides explains that while the antibody count does not matter for diagnosis (the presence of any level of thyroid antibodies indicates an autoimmune condition) the antibody count can be clinically significant.<\/p>\n<p>Because both the presence of antibodies and thyroid hormone levels play an important role in fertility, it is important to work with your doctor to achieve a stable balance, based on your individual needs.<\/p>\n<p><strong>References<\/strong><\/p>\n<p>https:\/\/www.hormone.org\/diseases-and-conditions\/pregnancy-and-thyroid-disease\/hypothyroidism-and-pregnancy<\/p>\n<p>https:\/\/www.mayoclinic.org\/diseases-conditions\/female-infertility\/expert-answers\/hypothyroidism-and-infertility\/faq-20058311#:~:text=With%20hypothyroidism%2C%20your%20thyroid%20gland,ovulation)%2C%20which%20impairs%20fertility.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>How are thyroid disorders? Your thyroid gland is the butterfly-shaped organ in the front &#8230; <a class=\"cz_readmore\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/\"><i class=\"far fa-square-plus\" aria-hidden=\"true\"><\/i><span>\u0627\u062f\u0627\u0645\u0647 \u0645\u0637\u0644\u0628<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":5920,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5921","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does hypothyroidism affect fertility? - Dr.Ahmad Fanaei<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ahmadfanaei.com\/en\/does-hypothyroidism-affect-fertility\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Does hypothyroidism affect fertility?\" \/>\n<meta property=\"og:description\" content=\"How are thyroid disorders? 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